Ambetter · PayerPolicy · AMBETTER-CONCERT-GENETIC-TESTING-TOXICOLOGY-AND-PHARMACOGENETICS-VERSION-B
Summary of the payer’s published policy. Not a coverage determination — confirm with Ambetter before submitting.
Free account. Policy pages stay open to everyone.
Each code’s status is what the policy records for it. This page does not show the policy’s criteria. Read them in the payer’s source.
| Code | Code system | Status in this policy |
|---|---|---|
| 0029U | CPT | Referenced |
| 0030U | CPT | Referenced |
| 0031U | CPT | Referenced |
| 0032U | CPT | Referenced |
| 0033U | CPT | Referenced |
| 0034U | CPT | Referenced |
| 0070U | CPT | Referenced |
| 0071U | CPT | Referenced |
| 0072U | CPT | Referenced |
| 0073U | CPT | Referenced |
| 0074U | CPT | Referenced |
| 0075U | CPT | Referenced |
| 0076U | CPT | Referenced |
| 0169U | CPT | Referenced |
| 0173U |
|---|
| CPT |
| Referenced |
| 0175U | CPT | Referenced |
|---|
| 0286U | CPT | Referenced |
|---|
| 0345U | CPT | Referenced |
|---|
| 0347U | CPT | Referenced |
|---|
| 0348U | CPT | Referenced |
|---|
| 0349U | CPT | Referenced |
|---|
| 0350U | CPT | Referenced |
|---|
| 0392U | CPT | Referenced |
|---|
| 0411U | CPT | Referenced |
|---|
| 0419U | CPT | Referenced |
|---|
| 0423U | CPT | Referenced |
|---|
| 0434U | CPT | Referenced |
|---|
| 0437U | CPT | Referenced |
|---|
| 0438U | CPT | Referenced |
|---|
| 0460U | CPT | Referenced |
|---|
| 0461U | CPT | Referenced |
|---|
| 0476U | CPT | Referenced |
|---|
| 0477U | CPT | Referenced |
|---|
| 0516U | CPT | Referenced |
|---|
| 81225 | CPT | Referenced |
|---|
| 81226 | CPT | Referenced |
|---|
| 81227 | CPT | Referenced |
|---|
| 81231 | CPT | Referenced |
|---|
| 81232 | CPT | Referenced |
|---|
| 81306 | CPT | Referenced |
|---|
| 81335 | CPT | Referenced |
|---|
| 81346 | CPT | Referenced |
|---|
| 81350 | CPT | Referenced |
|---|
| 81355 | CPT | Referenced |
|---|
| 81379 | CPT | Referenced |
|---|
| 81380 | CPT | Referenced |
|---|
| 81381 | CPT | Referenced |
|---|
| 81418 | CPT | Referenced |
|---|
| 81479 | CPT | Referenced |
|---|
| C00.0 | ICD10CM | Referenced |
|---|
| C50.11 | ICD10CM | Referenced |
|---|
| C50.929 | ICD10CM | Referenced |
|---|
| C69.4 | ICD10CM | Referenced |
|---|
| C79.81 | ICD10CM | Referenced |
|---|
| C85.90 | ICD10CM | Referenced |
|---|
| C91.0 | ICD10CM | Referenced |
|---|
| C96.9 | ICD10CM | Referenced |
|---|
| D00.0 | ICD10CM | Referenced |
|---|
| D07.30 | ICD10CM | Referenced |
|---|
| D07.39 | ICD10CM | Referenced |
|---|
| D49.9 | ICD10CM | Referenced |
|---|
| E11.9 | ICD10CM | Referenced |
|---|
| E75.22 | ICD10CM | Referenced |
|---|
| E78.00 | ICD10CM | Referenced |
|---|
| E78.1 | ICD10CM | Referenced |
|---|
| E80.4 | ICD10CM | Referenced |
|---|
| F20.9 | ICD10CM | Referenced |
|---|
| F84.0 | ICD10CM | Referenced |
|---|
| F95.2 | ICD10CM | Referenced |
|---|
| G47.419 | ICD10CM | Referenced |
|---|
| G71.14 | ICD10CM | Referenced |
|---|
| I20.0 | ICD10CM | Referenced |
|---|
| I21.0 | ICD10CM | Referenced |
|---|
| I21.01 | ICD10CM | Referenced |
|---|
| I22.9 | ICD10CM | Referenced |
|---|
| I24.1 | ICD10CM | Referenced |
|---|
| I24.9 | ICD10CM | Referenced |
|---|
| I25.110 | ICD10CM | Referenced |
|---|
| I26.01 | ICD10CM | Referenced |
|---|
| I26.99 | ICD10CM | Referenced |
|---|
| I48.0 | ICD10CM | Referenced |
|---|
| I60.00 | ICD10CM | Referenced |
|---|
| I63.50 | ICD10CM | Referenced |
|---|
| I63.549 | ICD10CM | Referenced |
|---|
| I66.01 | ICD10CM | Referenced |
|---|
| I66.9 | ICD10CM | Referenced |
|---|
| I66.99 | ICD10CM | Referenced |
|---|
| K21.9 | ICD10CM | Referenced |
|---|
| K50.00 | ICD10CM | Referenced |
|---|
| K50.90 | ICD10CM | Referenced |
|---|
| M35.9 | ICD10CM | Referenced |
|---|
| Q85.83 | ICD10CM | Referenced |
|---|
| R56.9 | ICD10CM | Referenced |
|---|
| R68.82 | ICD10CM | Referenced |
|---|
| R79.9 | ICD10CM | Referenced |
|---|
| T46.6X6S | ICD10CM | Referenced |
|---|
| T75.3 | ICD10CM | Referenced |
|---|
| Z01.81 | ICD10CM | Referenced |
|---|
| Z01.810 | ICD10CM | Referenced |
|---|
| Z01.811 | ICD10CM | Referenced |
|---|
| Z01.818 | ICD10CM | Referenced |
|---|
| Z01.89 | ICD10CM | Referenced |
|---|
| Z13.71 | ICD10CM | Referenced |
|---|
| Z13.79 | ICD10CM | Referenced |
|---|
| Z79.6 | ICD10CM | Referenced |
|---|
| Z80.3 | ICD10CM | Referenced |
|---|
| Z81.8 | ICD10CM | Referenced |
|---|
| Z82.49 | ICD10CM | Referenced |
|---|
| Z85.3 | ICD10CM | Referenced |
|---|
| Z86.000 | ICD10CM | Referenced |
|---|
| Z86.59 | ICD10CM | Referenced |
|---|
| Z86.71 | ICD10CM | Referenced |
|---|
| Z86.718 | ICD10CM | Referenced |
|---|
| Z86.79 | ICD10CM | Referenced |
|---|